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However, any medical professional can execute the process as long as he or she follows the protocols of medical operations (Callara, L. 2008, 57). The criterion (protocol) that must be followed, starts with checking the absence of possible air leaks into the bottle of chest drain. Air leaks are usually noted when a patient breathes out using force or coughing with vigor unlike normal exhalation. Secondly, a check-up for the fluid volume into the chest drain to establish if it is normal or low follows. If it minimal, say, 10ml per hour, chest drain is usually present (Daly, J. Speedy, S. & Jackson, D. 2009, 68). The establishments of a respiratory difficulty also defines that there is a chest drain problem. Similarly, an increased bleeding risk that is associated with a decrease in coagulation also shows that there is a chest drain. Having established the explained steps, evidence from radiology for the absence of air or accumulation of fluid in the chest will be required before the removal of chest drain process begins (Jacob, A. & Sonali, J. 2007, 29).
My work in the whole chest drain process was to prepare the equipment used for the procedure and care for the patient since before and after the procedure, the patient is put under a closed –chest underwater seal that drains air and fluids to enhance the expansion of lungs (Basford, L. & Slevin, O. 2003, 39). The equipment I prepared for the doctor to carry out the procedure was a sterile dressing pack, gloves, stitch cutter, a solution for cleansing of skin, a clinical waste bag, a sterile swab, clamps and a dressing that is non-adherent (Quinn, F. 1998, 45). The predominant procedure is ensuring that the patient lies in an upright position to guarantee the expansion of lungs so that there is an easy optimal drainage of air and fluids enhanced by gravity (Fagin, C. 2000, 40). Secondly, the patient requires emotional support
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